Cycle 1
Health 2024-07-16 · Fire 2024-07-16
29 health deficiencies
Top issue: Resident Assessment and Care Planning (8 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Washington, DC
Washington Ctr For Aging Svcs
4-star overall rating with 2-star inspections with $272,526 in total fines with 29 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
2601 18th Street Ne, Washington, DC
(202) 541-6080
Overall
4 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
259
Certified beds
Average residents
203
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1982-01-31
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.92
Registered nurse staffing · state 1.74 · national 0.68
LPN hours / resident day
0.88
Licensed practical nurse staffing · state 0.69 · national 0.87
Aide hours / resident day
2.62
Nurse aide staffing · state 2.55 · national 2.35
Total nurse hours
4.42
All reported nurse hours · state 4.85 · national 3.89
Licensed hours
1.80
RN + LPN hours · state 2.30 · national 1.54
Weekend hours
3.77
Weekend nurse staffing · state 4.35 · national 3.43
Weekend RN hours
0.65
Weekend registered nurse coverage · state 1.38 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.12 · national 0.07
Adjusted RN hours
1.01
CMS adjusted RN staffing hours
Adjusted total hours
4.82
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 31% · national 45%
Total nurse turnover
15%
Annual nurse turnover · state 33% · national 46%
SNF VBP
Value-based purchasing
Program rank
639
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
66.14
Composite VBP score used to determine payment impact.
Payment multiplier
1.0201
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.08
Baseline 19.13% · Performance 18.15% · Measure score 7.08 · Achievement 7.08 · Improvement 4.16
Healthcare-associated infections
3.21
Baseline 7.86% · Performance 6.87% · Measure score 3.21 · Achievement 3.21 · Improvement 2.95
Total nurse turnover
10
Baseline 18.63% · Performance 17.50% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
6.16
Baseline 3.21 hours · Performance 4.83 hours · Measure score 6.16 · Achievement 6.16 · Improvement 5.80
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.39% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 175 · Observed rate 12% · Lower 95% interval 8.29% |
| Discharge to community | 42.15% |
50.57%
8.4 pts worse
|
Worse than the National Rate · Eligible stays 175 · Observed rate 35.43% · Lower 95% interval 35.61% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.97% |
95.27%
3.7 pts better
|
Numerator 96 · Denominator 97 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 97 |
| Discharge self-care score | 56.34% |
53.69%
2.7 pts better
|
Numerator 40 · Denominator 71 |
| Discharge mobility score | 42.25% |
50.94%
8.7 pts worse
|
Numerator 30 · Denominator 71 |
| Pressure ulcers or injuries, new or worsened | 1.03% |
2.29%
1.3 pts better
|
Numerator 1 · Denominator 97 · Adjusted rate 0.94% |
| Healthcare-associated infections requiring hospitalization | 6.87% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 98 · Observed rate 7.14% · Lower 95% interval 3.57% |
| Staff COVID-19 vaccination coverage | 5.54% |
8.2%
2.7 pts worse
|
Numerator 17 · Denominator 307 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 53.52% |
56.45%
2.9 pts worse
|
Numerator 38 · Denominator 71 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 57 · Denominator 57 |
| Resident COVID-19 vaccinations up to date | 3.64% |
25.2%
21.6 pts worse
|
Numerator 2 · Denominator 55 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.1
0.1 pts worse
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
0.7
About the same
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 49.5% |
89.9%
40.4 pts worse
|
93.4%
43.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 48.9% · Q2 46.7% · Q3 47.9% · Q4 54.4% · 4Q avg 49.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 80.2% |
97.0%
16.8 pts worse
|
95.5%
15.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 80.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.8% |
1.1%
0.3 pts better
|
3.3%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.5% · Q3 1.0% · Q4 0.5% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.6% |
5.8%
5.2 pts better
|
11.4%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 0.6% · 4Q avg 0.6% |
| Percentage of long-stay residents who lose too much weight | 3.8% |
4.9%
1.1 pts better
|
5.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 3.1% · Q3 4.8% · Q4 4.8% · 4Q avg 3.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 2.9% |
11.8%
8.9 pts better
|
19.6%
16.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 3.1% · Q3 3.7% · Q4 2.1% · 4Q avg 2.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.1% |
8.6%
10.5 pts worse
|
16.7%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 18.6% · Q3 20.3% · Q4 19.4% · 4Q avg 19.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.6%
0.6 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 20.4% |
21.6%
1.2 pts better
|
16.3%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.6% · Q2 12.2% · Q3 26.3% · Q4 25.9% · 4Q avg 20.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.8% |
23.8%
4 pts better
|
14.9%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 21.7% · Q3 16.6% · Q4 25.3% · 4Q avg 19.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
1.3%
0.7 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.7% · Q3 0.6% · Q4 0.3% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
1.7%
1 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 1.0% · Q3 0.5% · Q4 0.5% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.9% |
23.2%
0.3 pts better
|
19.8%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 20.9% · Q3 26.1% · Q4 23.0% · 4Q avg 22.9% |
| Percentage of long-stay residents with pressure ulcers | 10.7% |
7.9%
2.8 pts worse
|
5.1%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 13.4% · Q3 9.3% · Q4 11.3% · 4Q avg 10.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 7.1% |
66.1%
59 pts worse
|
81.7%
74.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 5.1% · Q3 9.3% · Q4 7.0% · 4Q avg 7.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.1% |
7.2%
4.1 pts better
|
12.0%
8.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.1% · Observed 3.3% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
0.7%
0.2 pts worse
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 10.9% |
73.2%
62.3 pts worse
|
79.7%
68.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 10.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.2% |
18.1%
4.9 pts better
|
23.9%
10.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 13.2% · Observed 15.2% · Expected 27.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-14 · Fire 2023-09-14
9 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2021-06-22 · Fire 2021-06-22
21 health deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-07-16
K932 · Smoke Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2024-10-23
E · Potential for more than minimal harm
2023-09-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-04
D · Potential for more than minimal harm
2023-09-14
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-01-04
D · Potential for more than minimal harm
2023-09-14
K932 · Smoke Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2024-01-04
F · Potential for more than minimal harm
2021-06-22
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-06-30
E · Potential for more than minimal harm
2021-06-22
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-06-30
D · Potential for more than minimal harm
2021-06-22
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-06-30
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-08-29
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-09-28
D · Potential for more than minimal harm
2025-08-29
F627 · Resident Rights Deficiencies
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-09-28
J · Immediate jeopardy
2025-07-11
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-17
D · Potential for more than minimal harm
2025-07-11
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-09-17
D · Potential for more than minimal harm
2025-07-11
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-09-17
D · Potential for more than minimal harm
2025-07-11
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-17
D · Potential for more than minimal harm
2025-07-11
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-09-17
D · Potential for more than minimal harm
2025-07-11
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-09-17
J · Immediate jeopardy
2024-07-16
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-31
E · Potential for more than minimal harm
2024-07-16
F569 · Resident Rights Deficiencies
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-08-31
E · Potential for more than minimal harm
2024-07-16
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-08-31
E · Potential for more than minimal harm
2024-07-16
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-25
D · Potential for more than minimal harm
2024-07-16
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-07-16
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-07-16
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-07-16
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-07-16
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-07-16
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-07-16
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-10-25
D · Potential for more than minimal harm
2024-07-16
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-07-16
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-07-16
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-07-16
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-07-16
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-07-16
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-07-16
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-10-25
D · Potential for more than minimal harm
2024-07-16
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2024-08-31
D · Potential for more than minimal harm
2024-07-16
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-08-31
C · Minimal harm
2024-07-16
F838 · Administration Deficiencies
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2024-08-31
J · Immediate jeopardy
2023-09-14
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-11-15
E · Potential for more than minimal harm
2023-09-14
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-11-15
D · Potential for more than minimal harm
2023-09-14
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-11-15
D · Potential for more than minimal harm
2023-09-14
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-15
D · Potential for more than minimal harm
2023-09-14
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-04-20
D · Potential for more than minimal harm
2023-09-14
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-01-20
D · Potential for more than minimal harm
2023-09-14
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-15
D · Potential for more than minimal harm
2023-09-14
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-11-15
D · Potential for more than minimal harm
2023-09-14
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-11-15
D · Potential for more than minimal harm
2023-05-18
F606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2023-07-31
D · Potential for more than minimal harm
2023-05-18
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-07-31
D · Potential for more than minimal harm
2023-05-18
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-07-31
D · Potential for more than minimal harm
2023-05-18
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-07-31
D · Potential for more than minimal harm
2023-05-18
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-07-31
D · Potential for more than minimal harm
2023-05-18
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-07-31
D · Potential for more than minimal harm
2023-05-18
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-31
D · Potential for more than minimal harm
2023-05-18
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-07-31
E · Potential for more than minimal harm
2021-06-22
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2021-07-31
E · Potential for more than minimal harm
2021-06-22
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-07-31
E · Potential for more than minimal harm
2021-06-22
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-07-31
E · Potential for more than minimal harm
2021-06-22
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2021-07-31
D · Potential for more than minimal harm
2021-06-22
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2021-07-31
D · Potential for more than minimal harm
2021-06-22
F622 · Resident Rights Deficiencies
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2021-07-31
D · Potential for more than minimal harm
2021-06-22
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2021-07-31
D · Potential for more than minimal harm
2021-06-22
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2021-06-22
D · Potential for more than minimal harm
2021-06-22
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2021-07-31
D · Potential for more than minimal harm
2021-06-22
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-07-31
D · Potential for more than minimal harm
2021-06-22
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2021-07-31
D · Potential for more than minimal harm
2021-06-22
F773 · Administration Deficiencies
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2021-07-31
D · Potential for more than minimal harm
2021-06-22
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-07-31
Penalties and ownership
What sits behind the stars
$164,975
2025-07-11
Fine
Fine · fine $164,975
Fine
$16,801
2024-07-16
Fine
Fine · fine $16,801
Fine
$90,750
2023-09-14
Fine
Fine · fine $90,750
Fine
$0
2023-09-14
Payment Denial
Payment Denial · denial start 2023-12-14 · 37 days
37 day denial
Ownership
Nash, Steve
Corporate Director · Individual
Nash, Steve
W-2 Managing Employee · Individual
Tyagi, Mahesh
Corporate Director · Individual
Tyagi, Mahesh
W-2 Managing Employee · Individual
Nearby options
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#3
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3-star overall rating with 2-star inspections with $16,801 in total fines with 26 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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